Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARC FREDERIKSEN, O.D.
ActiveDR. MARC FREDERIKSEN, O.D. is a Optometrist healthcare provider located in PLOVER, Wisconsin. NPI 1770534554 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PLOVER, WI
Registration Details
- NPI Number
- 1770534554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (20.22332185611 yrs)
- Last Updated
- Jul 9, 2007
- License
-
2769-035 (WI)
Practice Information
- Address
-
1800 PLOVER RDPLOVER, WI, 544673978Browse WI providers · Browse ZIP 54467
- Phone
- 7153429634
- Fax
- 7153429244
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PLOVER, WI
| Name | Credential | NPI |
|---|---|---|
| DR. LARRY J. WOODS | OD | 1871557322 |
| DR. ANDREW LEE RUST | O.D. | 1891802005 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.